Recession1

Finasteride since age 24 and now 2.5mg of Dutasteride daily and 5mg oral minoxidil daily for the past year.

I think the main reason he thought it was okay to aggressive is because my age, medication, he said I have no miniaturization in my donor, nape, or sides or crown of midscalp. He said my donor is a dense forest and estimated 8,000 grafts available as of now. Here is a picture of my donor…. He said lots of volume in it.

My problem is I have a tall forehead. How about bringing the frontal forelock point down just a little to make forehead look smaller and and then not going straight across but creating more of a U with some recession? I feel like the frontal center point height is what makes forehead look big or small…. I would rather have a broad forehead than a tall forehead I guess… does that make sense?

No it’s above the muscles. LaserCaps I appreciate your reply… so what are you suggesting to raise the proposed hairline?

When he measured the tip of chin to nose and nose to brows and brows to hairline this is what he came up with. I think the leading edge of the hairline can be where it is but maybe have some more natural recession as opposed to straight on the sides…?

So I have a transplant scheduled for the end of the year. I am stuck between which option I want to go with. I am wanting to achieve good density. The doctor said I don’t have any miniaturization in crown or midscalp. I am 35 years old and am on Dutasteride and oral minoxidil. My mom sides are all nw 3 to 4 max. My dads side has some nw 6. For what it’s worth I look like my moms side. Doctor said he can do 3,000 grafts to lower hairline and reinforce the whole frontal third and forelock or said I can go with 2,000 grafts which would give the new hairline and fill in recession. My only fear going with 2,000 grafts is my forelock continuing to recede then I’m left with a gap between new hairline. If I go with 3,000 grafts I have the insurance that the hair transplant will stand-alone but then I don’t have the extra grafts in the bank if future loss exists. Also if I go with 3,000 grafts the surgery won’t be completed in just one day. What do you guys think? Thanks for the help.

Everybody talks about the illusion of density of a hair transplant. If you are a nw 3 and get your frontal 3rd done and add hair fibers I don’t see how you wouldn’t apprear to have a perfect full frontal third. An example is I am a NW 3 with miniaturization and thinning and when I add fibers and dermatch it looks perfect. The problem is I want my hairline brought back down a little to be able to have different hairstyles and not have recession. So if I have transplanted hairs into my recessed areas couple with some fibers it would have to appear thick wouldnt it?

I think it depends on the surgeon performing the transplant and on how much area you are trying to cover. For instance I have seen results from Konior where he has brought people with extensive hair loss back to appearing like they haven’t lost a hair. Some of the guys even took pictures outside and it looked dense. I think what he does with 1500 grafts is what most surgeons would need 3000 grafts for. I think it all comes down to the hairline. When you are in your 30s and 40s it’s more about the hairline framing your face than having crazy dense hair. The majority of men in their 30s and 40s have recession so if you have a good hairline you appear in better than most men at that age. Also, if you don’t mind sprinkling some fibers in with a skilled surgeon I think you can create a perfect full head of hair look.

How do you figure? Based on clinical results the hair count was far superior to .5mg of Dutasteride and way more effective than 1mg of finasteride. If you don’t have side effects and you still have a lot of hair it’s the best chance of holding onto all the hair you have for a very long time.

Has anybody tried Dutasteride at the 2.5mg dose? If so any success in maintaining or growing hair over .5mg? I know there is clinical evidence of it being more effective than .5mg but wanted to hear of any one having positive results. Thanks

I know you can pick up hair loss genes from both sides of the family. Whose pattern did you guys follow mom or dad’s side? Anybody out there who has dad that is NW6 that isn’t developing NW 6?

Has anybody followed the Dr Tjusi hair loss cure claim? He originally anticipated 2020 but he said in 2026 he is going to shock the world. Anybody think this is legit. Makes me want to hold off on a hair transplant to see.

Both look good. I agree shorter on sides looks thicker on top. AB 2000 do you have any before pictures. Looks like you got good coverage for NW 6

Thanks for the reply. I think Smp looks a little off at the hairline so actually having hair in the hairline makes a big difference. I would think a hair transplant couples with smp towards the back would look the best

Exactly… I had a buddy that maybe had 50 hairs left in his frontal 3rd and he got 3,000 grafts to the frontal 3rd and then buzzed it down to 1 or 2 and it looked perfect and frames his face. I don’t understand why more guys wouldn’t do this. As far as framing the face and looking like you buzz your hair by choice I would think this is almost a cure as long as you like the buzzed look… better than being slick bald or having very sparse longer hair throughout a nw 6 area. I would personally sense pack as many up front and then go lighter towards the back and mix the back with smp.

I was thinking about this today… why don’t NW 6 guys get 3,000 grafts dense packed to the frontal third and then scatter another 3,000 grafts around the crown and midscalp and then buzz it down to 1 or 2 guard. Wouldnt this create a nice buzzed look that frames their face and gives an illusion of a full head of hair as opposed to them growing it out and having it look thin since you can’t get the full coverage. I know smp is an option but that doesn’t look as good at the hairline in my opinion than actual buzzed hair. Thoughts?

Sorry I didn’t read your full post. I see that you are on dut and oral min. In my opinion that is the strongest stack and I think you will be fine for quite some time.

I started fin when I was 23 at a NW 2 with recession. the first 3 years I had some thickening and then very slow loss. I am now 35 and am a Nw 3. My dad is a NW 6 and my brother who is 37 without medication is a NW 5. 2 years ago I switched to dut as I felt fin was slowly loosing the battle but it could have been in my head. If you aren’t already I would consider adding oral minoxidil. I know a lot of people are concerned with side effects but My hair thickened up when I started a year ago. Meds definitely work very well and will buy you time before something else comes out hopefully. For what it’s worth and I guess I’m a risk taker I would have started on Dutasteride and oral minoxidil at 24 years old if I would have known I wasn’t going to have side effects… I feel it is the most effective and I have no side effects. Don’t take my word but consult with a doctor.

That is the scary part. Everyone in my family besides me has never taken medicine and they were all NW 3s in their late 30s and progressed to NW 6s in their 40s. We are late balders I guess. The scary part is I got to hair transplant doctors and they say wow you are only a NW 3 at 35 you will be fine to do hair transplant because they think at 35 my hair loss should be more advanced but so were all of my relatives. Hard to know what to do… or maybe I won’t follow them. It’s tempting to not get frontal 3rd done being on medication. It might give me 10 years of great hair and allow time for another treatment to come out

Question for you guys. Everybody talks about stabilization of hair loss before hair transplant. In my opinion there is no such thing. I am 35 years old nw 3 and am on Dutasteride and oral minoxidil and my dad is nw 6. Even with the strong stack I have continued to thin over the years and I still shed and I’m sure with time I will reach a NW 6 as well even though I appear to have a full head of hair I can still tell there is some thinning throughout. I am planning on getting a hair transplant with Konior to reinforce frontal 3rd but is this risky knowing that I will get to NW 6. Won’t I be chasing it every few years?

Yes wanting to touch up the front. Going to Dr Konior. My front has receded and thinned. He estimated 2,000 grafts. Wanting to bring hairline down to frame my face to make forehead look not as tall and then reinforce miniaturized hairs in the frontal third to add density. I’m 35 and am on Dutasteride and oral minoxidil. I started receiding and thinning at 23 so it has been slow progression over the last decade.

Thanks for the replies. I am on a strong stack of medications but have never really understood the stabilization of medication. I think medication is very important to slow hair loss down but I think with hair loss you are never stable regarding future loss. I think if you are genetically destined to be a NW 6 you are eventually someday going to get there regardless of medication it just takes longer. Would you guys agree that you are genetics always win out over medication?

I have my hair transplant booked with Dr Konior for early 24. Anybody have any experience with him? His results seemed to be pretty top shelf and he Definitely gets top dollar but I’m okay to pay it if I get the results. I’m a NW 3 so most of it is hairline work. My plan is to go cheaper route to difference clinic in the future if I loose hair in crown or mid scalp, but want the best to do the hairline and form the foundation. Good approach?

Does anybody know how to get a hold of Juan Couto? I know he has a waiting list but am willing to wait until 2024. Thanks

Why is it that top doctors out of the US have have such better results as far as density and more aggressive hairlines that the most renown surgeons in the United States? Based off of pictures of top doctors in the US such as Robert Leonard, Rasmussen, Bernstein all of their before and after pictures seem like they lack density and aren’t aggressive with creating solid hairlines. Some of these clinics overseas with prominent doctors almost seem like they take patients with extensive hair loss and make them look like they haven’t even lost hair. Does anybody else agree with this?